| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $190.55 | $190.55 | $190.55 | |
Aetna
| Professional | $190.55 | $190.55 | $190.55 | |
BCBS
| Facility | $190.55 | $190.55 | $190.55 | |
BCBS
| Professional | $190.55 | $190.55 | $194.98 | |
Cigna
| Facility | $190.55 | $190.55 | $190.55 | |
Cigna
| Professional | $190.55 | $190.55 | $190.55 | |
United
| Facility | $162.18 | $181.97 | $181.97 | |
United
| Professional | $162.18 | $190.55 | $204.17 |